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DR. ELISE NICOLE SIMPSON D.O.
NPI 1972949220
Obstetrics & Gynecology in Novi, MI

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
25500 MEADOWBROOK RD STE 120, NOVI, MI 48375(248) 465-4340(248) 465-4341 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2022, Jul 6, 2022, Aug 2, 2017 and 1 more (4 updates tracked since 2015).

About Dr. Elise Nicole Simpson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELISE NICOLE SIMPSON D.O. (NPI 1972949220) is an individual obstetrics & gynecology provider in Novi, Michigan, licensed in Michigan (5101023338) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1972949220
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ELISE NICOLE SIMPSONCredential: D.O.
Location Address25500 MEADOWBROOK RD STE 120Novi, MI 48375-1879
Mailing Address25500 Meadowbrook Rd Ste 120Novi, MI 48375-1879 · (248) 465-4340 · Fax (248) 465-4341
Phone(248) 465-4340
Fax(248) 465-4341
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateMay 14, 2013
Last NPPES UpdateJanuary 12, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1972949220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5101023338
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
25500 MEADOWBROOK RD STE 120, Novi, MI 48375
Open in Google Maps ↗

Secondary Practice Location 1

Location 11535 Gull Rd Ste 250Kalamazoo, MI 49048-1661 · Phone (269) 226-5927

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elise Nicole Simpson D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739481417
PECOS Enrollment IDI20170731000701
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services16 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ANN CHARTIER MD
Obstetrics & Gynecology
25500 MEADOWBROOK RD STE 120
NOVI, MI 48375
Oakland County (248) 465-4340
ALAN BRYAN NEWMAN MD
Obstetrics & Gynecology
25500 MEADOWBROOK RD STE 120
NOVI, MI 48375
Oakland County (248) 465-4340
REBECCA MARIE MOORHOUSE DO
Obstetrics & Gynecology
25500 MEADOWBROOK RD STE 120
NOVI, MI 48375
Oakland County (248) 465-4340
MICHELLE JANEEN REINKE-YOUNG DO
Obstetrics & Gynecology
25500 MEADOWBROOK RD STE 120
NOVI, MI 48375
Oakland County (248) 465-4340
CHANDRIKA JOSHI MD
Obstetrics & Gynecology
25500 MEADOWBROOK RD STE 120
NOVI, MI 48375
Oakland County (248) 465-4340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Simpson's NPI number?

The NPI number for Elise Simpson is 1972949220. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Elise Simpson located?

Elise Simpson practices at 25500 Meadowbrook Rd Ste 120, Novi, MI 48375. The listed phone number is (248) 465-4340.

What is Elise Simpson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elise Simpson enrolled in Medicare?

Yes. Elise Simpson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elise Simpson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Elise Simpson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elise Simpson affiliated with any hospitals?

According to CMS data, Elise Simpson is affiliated with Ascension Providence Hospital, Southfield And Novi.

When was this NPI record last updated?

The NPPES record for Elise Simpson was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.